Teaching equipment for the clinics in the Klinikum Fulda-Campus Fulda with simulators or models and trainers.

"Advanced Life Support-Simulator

The ALS simulator must enable the representation of complex scenarios for ALS training. The simulator must correspond to an adult person and have interchangeable components (upper body skin, genitals, hair) for the representation of female and male patients. The system must be controllable via the software of a tablet PC (at least 10") on which all controls are displayed on one page. The system must include a second tablet PC (at least 10") whose software allows the display of vital signs. It must be possible to control the second tablet PC via the central control unit. The simulator must allow the use of its own stethoscope for ausculation. The simulator must allow the use of a real defibrillator. It must be possible to create and save your own scenarios. The basic version must include at least six ready-made and fully deployable scenarios. There may be no additional license costs for the use of the software (both the system software and the scenarios). The only exceptions to this are later system upgrades that lead to a significant improvement in functionality. The simulator must have a battery with at least three hours of running time."

"Advanced Life Support-Simulator

The simulator must enable the following applications: General positioning (lying, sitting, cervical spine stabilization) / i.m. injections shoulder and leg, bladder catheterization, female and male, without fluid / IV accesses on the right arm, expandable for ultrasound-assisted placement of the access / blood pressure measurement on the left arm, carotid pulse measurement / intubation and airway management with all important applications, unilateral and bilateral thoracic movement as well as Laryngospasm (manual) / Needle and surgical coniotomy / Bilateral needle thoracotomy / CPR with evaluation according to ERC and AHA guidelines / Auscultation heart, lung, abdomen / Neurological assessment by eye reaction, movement, pupil size and shape / Clinical monitoring and vital signs monitoring / Defibrillation and cardioversion (simulated or real), 12-lead ECG (simulated) / 4-lead ECG with real monitoring equipment / Free communication between operator and Student via audio communication unit as well as recorded voice and speech sounds. The simulator must be available in light and dark skin and should be delivered with light skin.

The simulator must be expandable with at least the following modules: Geriatric face mask, ultrasound-assisted placement of an IV access, condition after mastectomy and wound care. "

The special features can be found in the bill of quantities.

Punktionsarm Senior/in

The trainer must enable the performance of a wide variety of venous accesses on a geriatric arm. The model must have at least the following punctable vessels: basilica vein and cephalica. The skin and vein material of the arm must be made of self-sealing material and be repairable with a sealant. The skin and veins must be interchangeable. All veins must be palpable.

In addition, the model must have "rolling" veins, which represent the training of a more difficult facility.

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The special features can be found in the bill of quantities.

Puncture arm adults (1)

The trainer must enable a wide variety of venous accesses to be made on the arm and back of the hand. In addition, it must be possible to perform the intramuscular injection on the deltoid muscle and the intradermal injection on the upper arm. The model must have at least the following puncturable vessels on the back of the hand and in the crook of the elbow: dorsal metacarpalis vein, basilica, mediana cubiti, cephalica and mediana antebrachii. The skin and vein material of the arm must be made of self-sealing material and be repairable with a sealant. The skin and veins must be interchangeable. The arm must be available in light and dark skin color and come with dark skin. All veins must be palpable.

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The special features can be found in the bill of quantities.

Puncture arm adults (2)

The trainer must be able to perform basic venous access to the arm and have a very long service life. The model must have at least four different veins. The skin and vein material of the arm must be made of self-sealing material and these must be replaceable by the user within ten minutes. The arm must be available in light and dark skin color and come with light skin. All veins must be palpable.

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The special features can be found in the bill of quantities.

Model for supplying a port and central venous catheters

The model consisting of an upper body and an adjustable upper arm must allow the supply of port systems and central venous catheters to be carried out. It must allow different levels of difficulty and be able to be used both standing and supine. It must be possible to perform the port supply on a port inserted under the left breast, which must be available in the following variants: normal, tilting, migrating and deep-seated. Central venous catheter access must be available on the upper arm as a PICC access and for the subclavian and jugular veins as CVC. All access points must offer the possibility of taking blood samples, administering medication and fluid infusions.

The port must be punctable.

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The special features can be found in the bill of quantities.

Arterielles Blutentnahmemodell

The electrically operated training system must enable palpation-assisted punctures of the radial artery to be performed. The pulse rate and strength must be variably adjustable. To do this, the model must have a part of the forearm with an angled hand and offer realistic needle resistance in the tissue and arterial wall. The arterial vessels and the skin must be easy to replace. The system must be supplied with a safety plug for the German power grid 220-240V.

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The special features can be found in the bill of quantities.

Lumbalpunktions-Simulator

The training model for epidural and lumbar punctures must allow the performance of diagnostic and therapeutic lumbar and epidural procedures. The model must have a multi-layered structure. In addition to the normal spinal structure, there must also be a spinal structure with a steeper angle of entry. The model must be retrofitted with an ultrasound-capable puncture block. The sensation during the puncture of the dura, during the removal and measurement of the cerebrospinal fluid as well as during the insertion of epidural catheters should be close to reality. The model must have a sitting position. At a minimum, the following applications must be able to be carried out: the use of the "loss of resistance" technique, the injection of local anesthetics, the collection and measurement of cerebrospinal fluid, and the insertion of an epidural catheter.

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The special features can be found in the bill of quantities.

Central venipuncture model

An ultrasound-capable CVC training model must be offered, which enables the entire process of the CVC system to be carried out. The material must be disinfectable and self-sealable. It must be compatible with all commercially available ultrasound systems. The model must depict an upper body with a head and allow puncture of the subclavian vein and jugular vein. The main anatomical landmarks (trachea, sternular jugular fossa, manubrium, clavicle) must be present. The model must have the following vessels: internal jugular vein, subclavian vein, brachiocephalic vein, axillary vein, carotid artery, subclavian artery, axillary artery. The veins must be compressible. It must be possible to generate the arterial pulse with a hand pump.

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The special features can be found in the bill of quantities.

Auscultation Trainer Cardio

The simulator must allow cardiac auscultation to be performed with its own commercially available stethoscope and simultaneous vascular palpation. With this trainer, it must be possible to learn how to assess patients with heart disease and cardiac arrhythmias. The system must consist of an upper body with a leg attachment and be permanently installed on a mobile trolley that contains all technical systems. The system must be operated exclusively via a tablet PC (at least 10 "") on which the necessary software is installed. With the help of the tablet PC, it must be possible to change all parameters as well as to create and save your own case combinations. It must be possible to control up to 5 workstations at the same time with the tablet PC. The vital signs must be displayed on an external monitor mounted on a separate trolley (at least 24"). At a minimum, the following parameters must be displayed: ECG and/or audio track of the heartbeat to be cultivated, heart rate, temperature, blood pressure and respiration rate. The simulator must have an error detection system that checks all important parameters at startup and displays appropriate feedback. Palpation of the vessels must be possible on both sides at the following locations: carotid artery, jugular vein, radial artery, femoral artery and median artery. The apex stroke must be able to be observed and palpated at three positions. The system must be supplied with a safety plug for the German power grid 220-240V.

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The special features can be found in the bill of quantities.

Digital Rectal Trainer

The simulator must allow the digital-rectal examination to be performed for simple and advanced tasks with different levels of difficulty. The model should enable the assessment of tone and anatomy. The model must be able to be examined in a lateral position and can be extended to use in a semi-standing position. The model must contain four different pathological variants of the prostate gland and, in addition to a normal one, a pathologically altered perineum.

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The special features can be found in the bill of quantities.

Ultraschallsimulator Abdomen, Polytrauma / FAST

The simulator must enable the performance of ultrasound examinations for the field of point-of-care ultrasound (PoCUS) / emergency medicine and support the defined curriculum of the International Association of Emergency Medicine (IFEM). The simulator must allow an examination from the collarbone to the bladder using various ultrasound probes. There must be at least 110 pathologies available from real patient scans from the field of emergency / intensive care medicine. The simulator must have a monitor (at least 23"). The system must have one simulated probe each for abdominal and transthoracic ultrasound and offer the following software modules: Beginner's tutorial for training probe handling, hand-eye coordination and image interpretation in connection with the anatomical structure / Learning program according to protocols - at least ELS, FAST, eFAST, RUSH and FUSIC / Tutorial by body zones - at least eight different zones / User program with M-Mode, color Doppler, measurements and Marking. The simulator must allow ultrasound-assisted emergency examination of the following areas: lungs left (moved), lungs right (moved), liver, gallbladder, spleen, heart (moved), kidneys, aorta (moved), pelvic cavity (female), thyroid gland. The system must be supplied with a safety plug for the German power grid 220-240V. It must be available in a laptop or desktop version. It must be possible to expand the system with a cardiac echo system at any time. In addition to a complete, beating 3D heart with extensive imaging options, this must also enable the use of transesophageal ultrasound.

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The special features can be found in the bill of quantities.

Chest Drainage Trainer

The training model must allow surgical thoracotomy and needle decompression in tension pneumothorax to be performed. The tissue behavior should be realistic. The use of puncture needles, surgical instruments and drainage tubes must be possible. The trainer must map all important anatomical landmarks (thorax with rib structures and neck/shoulder area). In the case of the relief puncture, a realistic air outlet must be generated with the typical whistling sound. The pads for the relief puncture and the chest drainage must be easy to replace. The trainer must be usable with and without fluid and must be designed for the use of ultrasound-assisted puncture in chest drainage.

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The special features can be found in the bill of quantities.

Delivery free point of use

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The special features can be found in the bill of quantities.

For items 1, 7, 8, 16, 17 and 19:

Commissioning and instruction of the responsible employees

on site.

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The special features can be found in the bill of quantities.

Upgrade or service contract

Zu Position 1: Advanced Life Support-Simulator

Optionally, an upgrade or service contract must be offered.

Please indicate the cost of this upgrade or service contract in the "Optional Services" section of your offer.

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The special features can be found in the bill of quantities.

Polyps for polypectomy

To position 5: Gastroscopy phantom

The model must contain polyps of Yamada class I to IV for diagnosis. The model must be expandable with polyps for polypectomy with the possibility of bleeding.

Please indicate the cost of such polyps for polypectomy with the possibility of bleeding in your offer in the "Optional Services" section.

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The special features can be found in the bill of quantities.

Basic cleansing, replacement veins and skin

To position 9: Puncture arm child

The bidder must enable the subsequent overhaul of the trainer with basic cleaning, replacement of the veins and skin (as a paid service).

Please indicate the cost of this service in the "Optional Services" section of your offer.

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The special features can be found in the bill of quantities.

Basic cleansing, replacement veins and skin

To position 10: Puncture arm senior

The bidder must enable the subsequent overhaul of the trainer with basic cleaning, replacement of the veins and skin (as a paid service).

Please indicate the cost of this service in the "Optional Services" section of your offer.

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The special features can be found in the bill of quantities.

Basic cleansing, replacement veins and skin

To heading 11: Puncture arm adults (1)

The bidder must enable the subsequent overhaul of the trainer with basic cleaning, replacement of the veins and skin (as a paid service).

Please indicate the cost of this service in the "Optional Services" section of your offer.

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The special features can be found in the bill of quantities.

Tracheostomy model for the insertion of a T-cannula

The training model must allow the implementation of the main nasal and oral airway securing techniques, cricotomy and bronchoscopy. The head must be able to be used in different positions and allow all the movements necessary for airway management. The model must have a nasal passage as well as an anatomically accurately simulated ring cartilage, laryngeal cartilage and palpable tracheal rings with an additional bronchi that provides anatomical details. It must be possible to perform the following applications with the model: needle/surgical cricotomy, percutaneous tracheostomy, fiber optic bronchoscopy, pulmonary isolation techniques, lung suction, diagnostic bronchoscopy, direct and video laryngoscopy, endo- and nasotracheal intubation, supraglottic airway protection, and resuscitation ventilation. The area of the coniotomy must be equipped with a wrap-around skin and easily replaceable tracheal elements.

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The special features can be found in the bill of quantities.

Tracheostomy model for the insertion of a T-cannula /

Bronchoscopy model

A second training model identical to heading 03 must be offered, only

WITHOUT the 50 pieces of wrap-around skin required for position 03, as the model is to be used for bronchoscopy.

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The special features can be found in the bill of quantities.

Gastroscopy phantom

The training model for the field of gastroscopic examination must allow the use of various endoscopic interventions. The model must be depicted realistically and convey the haptic and visual feeling of real patients. The model must include oral and nasal accesses, esophagus, stomach, duodenum, bile duct and pancreatic duct. The model must include the following pathologies: duodenal ulcer, peptic ulcer and gastric carcinoma.

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The special features can be found in the bill of quantities.

Colonoscopy phantom (rectal examination, intestinal tube installation, sigmoideoscopy, ...)

The training model must allow colonoscopy to be performed using a real endoscopy system. The model must consist of a transparent plastic sleeve that allows an insight into the intestinal guidance. The colon must be able to be positioned in three different variants. The model must allow the following examination variants to be performed: Short Alpha Loop (Retract Technique), Long Alpha Loop (Forward Push Technique), and N Loop (Retract/Forward Slide). The model must cover the following patient positions: left side, right lateral/spine, and manual abdominal compression

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The special features can be found in the bill of quantities.

Abdomen-Palpations-Simulator

The training model must allow the palpation and percussion of the abdomen to be performed. The abdominal wall of the simulator must provide a realistic sense of touch and can be used for both superficial and deep palpation. There must be at least the following organs with and without pathology: 4 x liver, 2 x spleen, 2 x kidney, 2 x uterus, 2 x lymph nodes.

The system must be offered including a module for the reproduction of intestinal and aortic sounds. It must be possible to regulate these sounds via an external control unit and reproduce them via a simulated monitoring system.

The system must be supplied with a safety plug for the German power grid 220-240V.

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The special features can be found in the bill of quantities.

Lungenauskultationstrainer

The simulator must allow lung auscultation to be performed with its own commercially available stethoscope. Auscultation must be able to be performed both posterior and anterior at the same time. The model must be able to be used to learn how to assess patients with lung diseases. The system must consist of an upper body and be permanently installed on a mobile trolley that contains all technical systems. The system must only be operated via a tablet PC (at least 10 "") on which the necessary software is installed. With the system it must be possible to change all parameters as well as to create and save your own case combinations. The simulator must have an error detection system that checks all important parameters at startup and displays appropriate feedback. The system must also provide X-rays, CT and bronchoscopy images with a direct correlation to the corresponding pathological findings. The system must be supplied with a safety plug for the German power grid 220-240V.

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The special features can be found in the bill of quantities.

Punktionsarm Kind

The trainer must be able to perform a wide variety of venous lines on a pediatric arm (a 5-6 year old child). In addition, it must be possible to perform the intramuscular injection on the deltoid muscle. The model must have different access points in the area of the crook of the elbow. The skin and vein material of the arm must be made of self-sealing material and be repairable with a sealant. The skin and veins must be interchangeable. The arm must be available in light and dark skin color and come with light skin. All veins must be palpable.

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The special features can be found in the bill of quantities.